Stroke in China: epidemiology, prevention, and management strategies

Liu, Ming; Wu, Bo; Wang, Wenzhi; Li, Liming; Zhang, Shihong; Kong, Lingzhi

doi:10.1016/s1474-4422(07)70004-2

Cited by 693 publications

(563 citation statements)

References 33 publications

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“…The higher proportion of stroke in upper-middle-income countries and urban settings compared to low-income countries and rural environments as shown in the present study and in previous reviews [6,8,43] are in line with convergence of increasing income level, urbanisation and cardio-vascular disease predictors.…”

Section: Discussionsupporting

confidence: 91%

Stroke survivors in low- and middle-income countries: A meta-analysis of prevalence and secular trends

Ezejimofor

Chen

Kandala

et al. 2016

Journal of the Neurological Sciences

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Northumbria University has developed Northumbria Research Link (NRL) to enable users to access the University's research output. Copyright © and moral rights for items on NRL are retained by the individual author(s) and/or other copyright owners. Single copies of full items can be reproduced, displayed or performed, and given to third parties in any format or medium for personal research or study, educational, or not-for-profit purposes without prior permission or charge, provided the authors, title and full bibliographic details are given, as well as a hyperlink and/or URL to the original metadata page. The content must not be changed in any way. Full items must not be sold commercially in any format or medium without formal permission of the copyright holder. The full policy is available online: http://nrl.northumbria.ac.uk/policies.html This document may differ from the final, published version of the research and has been made available online in accordance with publisher policies. To read and/or cite from the published version of the research, please visit the publisher's website (a subscription may be required.) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 Overall, 101 eligible community-based studies were included in the meta-analysis.The pooled crude prevalence of stroke survivors was highest in Latin America and Caribbean (21.2 per 1000, 95% CI 13.7 to 30.29) but lowest in sub-Saharan Africa (3.5 per 1000, 95% CI 1.9 to 5.7). Steepest increase in stroke prevalence occurred in low-income countries, increasing by 14.3% annually while the lowest increase occurred in lower-middle income countries (6% annually), and for every 10 years increase in participants' mean age, the prevalence of stroke survivors increases by 62% (95% CI 6% to 147%). ConclusionThe prevalence estimates of stroke survivors are significantly different across LMICs in both magnitude and secular trend. Improved stroke surveillance and care, as well as for better management of the underlying risk factors, primarily undetected or uncontrolled high blood pressure (HBP) are needed. Though there are existing reviews that had looked at prevalence of stroke in LMICs and regions such as Africa and Latin America [6][7][8][9], to the best of our knowledge there is no recent attempt to compile studies on stroke prevalence across different geographic regions in LMICs. Since the publication of these reviews, there have been an increasing number of new studies from these regions. This study therefore, aimed to provide more accurate estimates on the prevalence of stroke survivors and secular trends in LMICs in order to inform decision regarding policy responses and public health intervention across many geographic regions, socioeconomic and populations' subgroups. Methods Protocol and registrationThis systematic review rational and methods were specified ...

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Section: Discussionsupporting

confidence: 91%

Stroke survivors in low- and middle-income countries: A meta-analysis of prevalence and secular trends

Ezejimofor

Chen

Kandala

et al. 2016

Journal of the Neurological Sciences

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“…The reduction in CVA mortality began in the mid-1960s and was stabilized at the end of the twentieth century [21][22][23][24] . This decline was more pronounced in the United States, Canada, Australia, the Western Europe countries and Japan [23][24][25][26] , whereas the rates are higher in South America and Eastern Europe and still increasing in Eastern Europe countries [23][24][25][26][27] . Brazil is included in the context of decrease in the rates of CVA mortality with values that are similar to those of developing countries 11,12.28 , showing the highest rates when compared to countries in Latin America 12 and South America 29 .…”

Section: Discussionmentioning

confidence: 99%

Análise da tendência da mortalidade por acidente vascular cerebral no Brasil no século XXI

Garritano

Luz

Pires

et al. 2012

Arq. Bras. Cardiol.

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“…Because there's no article on this subject as far as we know. The prevention of ICH are widely studied 21,22 .…”

Section: Discussionmentioning

confidence: 99%

The correlation between lateralization of intracerebral hemorrhage in basal ganglia and handedness

et al. 2013

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PURPOSE:To investigate the correlation between lateralization of cerebral basal ganglia hemorrhage and handedness. METHODS:Medical records and computed tomography (CT) scans for 84 patients with primary hypertensive intracerebral hemorrhage (ICH) in basal ganglia were reviewed. Data of gender, age, handedness, and location of basal ganglia hematoma were statistically analyzed. Data of age, gender, handedness, health condition, and mean blood flow velocity (BFV) in middle cerebral arteries (MCAs) and anterior cerebral arteries (ACAs) on both sides of 114 healthy individuals were statistically analyzed. RESULTS:We found out that the patients with right basal ganglia hemorrhage were mostly left-handed, while patients with left basal ganglia hemorrhage were mostly right handed (p=0.021, r=0.251). And the mean BFV in the right MCAs of left-handed ones are relatively higher, the mean BFV in the left MCAs of right-handers are relatively higher (p=0.008, r=0.248). CONCLUSION:There's a correlation between lateralization of cerebral basal ganglia hemorrhage and handedness.

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Stroke in China: epidemiology, prevention, and management strategies

Cited by 693 publications

References 33 publications

Stroke survivors in low- and middle-income countries: A meta-analysis of prevalence and secular trends

Stroke survivors in low- and middle-income countries: A meta-analysis of prevalence and secular trends

Análise da tendência da mortalidade por acidente vascular cerebral no Brasil no século XXI

The correlation between lateralization of intracerebral hemorrhage in basal ganglia and handedness

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